Erica Carmelita Williams, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004018 Issued in FL

Practice address

20101 Central Blvd
Land O Lakes, FL 34637-7002

Phone

(813) 235-6132

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilient Rose Wellness LLC

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1881300028
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1528677341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28746 BIRDWATCH LOOP APT 206",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433738",
            "telephone_number": "706-464-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 CENTRAL BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377002",
            "telephone_number": "813-235-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERICA",
        "middle_name": "CARMELITA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah White, OT
• Angelique Whitehouse
• Whole Path Healing & Wellness LLC
• Wilco Civil, D.O. PLLC
• Jodie Nicole Wilke, APRN
• Crystal Willson, LMHC
• Andrea Lyn Wilson, LMHC
• Timothy Michael Wise, PHARM.D.
• Marissa Witter, LCSW
• Cameron John Womack

• Family Nurse Practitioner in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.